Goede, Drew J

Goede, Drew J is an individual health care provider with primary practice located at 9000 W Sura Ln , Greenfield WI 53228-3477. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Goede, Drew J can be contacted via phone (414) 246-6800.

Contact Information

Primary practice address
9000 W Sura Ln Greenfield WI 53228-3477
Phone: (414) 246-6800
Fax: (414) 246-6405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 13160-24 Wisconsin

Profile Details

NPI number 1952785719
LBN Legal business name Goede, Drew J
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2015
Last updated Aug 28th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952785719 NPPES
Wisconsin MEDICAID 100047663

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